Individual
JONATHAN R MEDVERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VAPSHCS - SEATTLE DIVISION, 1660 SOUTH COLUMBIAN WAY, S-113RAD, SEATTLE, WA 98108-1597
(206) 764-2444
(206) 277-3415
Mailing address
VAPSHCS - SEATTLE DIVISION, 1660 SOUTH COLUMBIAN WAY, S-113RAD, SEATTLE, WA 98108-1597
(206) 764-2444
(206) 277-3415
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
025209 MD00035227
WA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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